Caregiver Burden Questionnaire, ZBI Test - the question form
Questions: 22 · 5 minutes
1. Do you feel that your relative asks for more help than they need?
0: Never
1: Rarely
2: Sometimes
3: Often
4: Nearly always
2. Do you feel that you do not have enough time for yourself because of the time you spend with your relative?
0: Never
1: Rarely
2: Sometimes
3: Often
4: Nearly always
3. Do you feel stressed because you have to juggle caring for your relative with other responsibilities at home and at work?
0: Never
1: Rarely
2: Sometimes
3: Often
4: Nearly always
4. Do you feel embarrassed about the care recipient's behavior?
0: Never
1: Rarely
2: Sometimes
3: Often
4: Nearly always
5. Do you feel angry when you are with your relative?
0: Never
1: Rarely
2: Sometimes
3: Often
4: Nearly always
6. Do you feel that your relative has a negative effect on your relationships with other family members or friends?
0: Never
1: Rarely
2: Sometimes
3: Often
4: Nearly always
7. Do you worry about what the future holds for your relative?
0: Never
1: Rarely
2: Sometimes
3: Often
4: Nearly always
8. Do you feel that your relative is dependent on you?
0: Never
1: Rarely
2: Sometimes
3: Often
4: Nearly always
9. Do you feel tense when you are with your relative?
0: Never
1: Rarely
2: Sometimes
3: Often
4: Nearly always
10. Do you feel that your health has worsened because of caring for your relative?
0: Never
1: Rarely
2: Sometimes
3: Often
4: Nearly always
11. Do you feel that because of your relative you do not have enough privacy?
Never
Rarely
Sometimes
Often
Nearly always
12. Do you feel that your social life has suffered because you are caring for your relative?
0: Never
1: Rarely
2: Sometimes
3: Often
4: Nearly always
13. Do you feel embarrassed over your relative’s behavior in front of visitors?
0: Never
1: Rarely
2: Sometimes
3: Often
4: Nearly always
14. Do you feel that your relative expects you to take care of them, as if you were the only person they can depend on?
0: Never
1: Rarely
2: Sometimes
3: Quite frequently
4: Nearly always
15. Do you feel that you do not have enough money to care for your relative, in addition to your other expenses?
0: Never
1: Rarely
2: Sometimes
3: Frequently
4: Nearly always
16. Do you feel that you will soon be unable to care for your relative?
Never
Rarely
Sometimes
Often
Nearly always
17. Do you feel that you have lost control of your life since your relative became ill?
Never
Rarely
Sometimes
Often
Nearly always
18. Would you like to leave the care of your relative to someone else?
0: Never
1: Rarely
2: Sometimes
3: Often
4: Nearly always
19. Do you feel that you do not really understand how to provide care for your relative?
Never
Rarely
Sometimes
Often
Nearly always
20. Do you feel that you are not doing enough for your relative?
0: Never
1: Rarely
2: Sometimes
3: Frequently
4: Nearly always
21. Do you feel that you could be doing a better job in caring for your relative?
0: Never
1: Rarely
2: Sometimes
3: Frequently
4: Nearly always
22. Overall, how burdened do you feel in caring for your relative?
0: Never
1: Rarely
2: Sometimes
3: Often
4: Nearly always